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Diabetic ketoacidosis (DKA) is a rare but serious complication associated with SGLT2 inhibitors, including cases of euglycaemic DKA where blood glucose may not be markedly elevated

Alternatively, extracellular NAD + can be utilized by NAD + glycohydrolases, generating NAM, NR, or NMN outside of the cells, which can then be transported intracellularly for NAD + synthesis 65,66

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The choice of carnitine is very individual and depends on each patients specific presentation, metabolic profile, and treatment goals

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